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An e-learning pediatric cardiology curriculum for Pediatric Postgraduate trainees in Rwanda: implementation and
Emmanuel Rusingiza1,2, Faraz Alizadeh3,4, Traci Wolbrink3,4
1University Teaching Hospital of Kigali, Kigali, Rwanda. erkamanzi@gmail.com.
BMC Medical Education
|March 16, 2022
Summary
This study shows that an e-learning curriculum effectively improved pediatric cardiology knowledge for residents in Rwanda. The digital approach enhanced training despite challenges, demonstrating its value in resource-limited settings.
Area of Science:
- Medical Education
- Cardiology
- Digital Health
Background:
- Pediatric sub-specialty training is limited in resource-limited settings.
- Rwanda faces a critical shortage of pediatric cardiologists, impacting both care and education.
- An e-learning curriculum was developed to address these training gaps.
Purpose of the Study:
- To develop and evaluate a flipped classroom e-learning curriculum in pediatric cardiology for Rwandan residents.
- To improve the efficiency of specialist time by enabling digital pre-learning.
- To assess the knowledge, utilization, and satisfaction of residents with the digital curriculum.
Main Methods:
- A modified Delphi approach was used to identify key pediatric cardiology topics with Rwandan and US faculty.
- An e-learning curriculum was created with OPENPediatrics™ featuring ten structured video topics.
- A mixed-methods evaluation involved surveys and interviews with Rwandan pediatric residents.
Main Results:
- Knowledge assessment scores improved significantly from 66.2% to 76.7% (p < 0.001) after curriculum completion.
- Residents reported high satisfaction with the curriculum's visuals, engagement, and organization.
- Common barriers included lack of time (70%) and internet access (40%), yet utilization was high.
Conclusions:
- Video-based e-learning is effective for improving pediatric cardiology knowledge in resource-limited settings.
- The OPENPediatrics™ platform facilitated high utilization and satisfaction among residents.
- Digital curricula offer an efficient strategy to enhance sub-specialty training where faculty are scarce.

